| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $20.72 | $20.72 | |
Aetna
| Professional | $12.79 | $20.37 | $21.02 | |
Anthem BCBS
| Professional | $29.75 | $35.00 | $39.00 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 | |
United
| Professional | $24.00 | $28.00 | $38.00 |